Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.40 / $15.40 / $26.47	Facility		$15.40	$15.40	$26.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $20.01 / $30.85	Professional		$16.23	$20.01	$30.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.32 / $56.53 / $1,087.95	Facility		$21.32	$56.53	$1,087.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.97 / $30.33 / $53.61	Professional		$17.97	$30.33	$53.61
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $12.76 / $22.15 / $34.32	Professional		$12.76	$22.15	$34.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $19.65 / $31.78	Professional		$14.04	$19.65	$31.78
United Facility/Professional Professional Modifier Low / Median / High Price $15.88 / $26.28 / $43.85	Professional		$15.88	$26.28	$43.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $14.04 / $18.03	Professional		$14.04	$14.04	$18.03